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General NPI Number Information
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NPI Number | 1851818454
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Entity Type | Organization
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Legal Business Name | SKM HOMECARE INC.
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1000 W MCNAB RD STE 329
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City | POMPANO BEACH
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State | FL
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Zip | 33069-4719
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Country | US
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Telephone | 561-789-7410
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Fax | 754-307-2592
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Provider Business Mailing Address
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Address Line | 1000 WEST MCNAB RD SUITE 329
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City | POMPANO BEACH
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State | FL
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Zip | 33069
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Country | US
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Telephone | 561-789-7410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SANFORD KENNETH MOLIS
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Credential |
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Telephone | 561-789-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299994656
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License Number State | FL
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